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How to Manage Back Spasms During Pregnancy


It is an experience, being a mother. The entire pregnancy, the mother-to-be waits to see the face of her beloved little one. But it is also an arduous task. Nurturing a whole new life inside of your body has its consequences. One such, not so pleasant, aspect of pregnancy is the back spasms. Not to be confused with the contractions or kicks by the baby, these are experienced in your lower back. 


They come suddenly and often disappear as quickly too. When these back spasms decide to act up, they are often debilitating and leave you immobile, occasionally for hours. The back spasms during pregnancy can come unannounced and at no fixed time. They may be relieved in minutes or might linger on for days.

What Causes Back Spasms During Pregnancy?

One of the various aches and pains experienced during pregnancy is back spasms. Not all pregnant women experience these back spasms. Some of the most common reasons for back spasms during pregnancy are:

Weight Gain

Weight gain is one of the most common reasons for back spasms during pregnancy. The body is not habituated to carrying so much weight, especially in the truncal region. Due to protruding belly, the center of gravity shifts causing strain in your posture. The muscles of the lower back bear the direct brunt of this. This effect gets accentuated in the case of twins or overweight babies.

Muscle Strain

The muscle strain due to weight gain explained above is just one aspect. There is a muscle strain due to a postural shift. Regular activity, such as sleeping on the abdomen, is not possible. Sitting or lying down is performed in specific positions. Even lifting a small weight at an awkward angle can be troublesome. Due to pregnancy complications, lying bedridden for long durations can also cause muscle strain.

Emotional Stress

Due to the hormonal changes and overall tumultuous changes in the lifestyle, there can be emotional stress experienced by the mother-to-be. This stress is known to aggravate back spasms. These emotionally caused back spasms tend to be more in the cervical region (upper back).

How to Manage Back Spasms During Pregnancy?

To manage back spasms during pregnancy without consulting a doctor is not safe. However, here are some basic treatment options to be considered.

1. Local Application at the Site of Pain

For managing back spasms during pregnancy, do not use any anti-inflammatory or pain relief applications without consulting your doctor. This includes any ointments, gels, or creams.

Similarly, there is no question of any massage on your back.


The only application that can be done is either ice packs or heat packs. Either of these is used for short periods only. They can be used up to 3 times a day. Do not let it come in contact with the belly region. If these do not provide sustainable relief, please consult a doctor.

2. Posture Maintenance

Actively trying to maintain a better posture is important for the management of back spasms during pregnancy. Simple activities such as using a pillow to support your back when sitting can help reduce muscle stress. Do not stand for long hours. Do not sit in unsupported positions.

3. Stretching and Exercise

While no strenuous exercise is permissible during pregnancy, performing a daily routine of basic stretches and minimal exercise is beneficial. This keeps the body active and supple. It keeps the muscles flexible and decreases the chance of back spasms during pregnancy. Do not start any exercise without consulting your doctor.

4. Sleep Position Management

For decreased pressure on your back, avoid sleeping on it. Try to sleep on your side. This may not be possible constantly, yet it is effective in the long run.

5. Footwear

Avoid high heels during pregnancy at all costs. The strain on the lower back due to high heels is significant. It is important to wear flat footwear that provides comfort as well as grip. High heels increase the chances of slipping.

6. Lifestyle Changes

Generally, staying more active than sedentary can help decrease back spasms during pregnancy. Simple activities like walking or basic daily chores are akin to being active. Consult your gynaecologist about what exercises and activities are safe during pregnancy.


While there may be other medicines or treatment modalities that can help manage back spasms during pregnancy, one must consult the gynaecologist for that. You can consult with an Assurance Gynaecologist via video call. You can get the best diagnosis and care from renowned doctors at NHAssurance while sitting in the comfort of your home.